NPI | 1629968326 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMEKA ADEBAYO CEO 804-585-7614 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-07-07 |