| NPI | 1629804315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ERICKSON Director 804-690-2537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2025-02-13 |