| NPI | 1649700824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON PRICE President 804-840-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-06-21 |