| NPI | 1639551500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK KELLY CEO 804-730-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2024-12-09 |