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