| NPI | 1629750237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSON-FISHER CEO 804-833-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |