| NPI | 1649921297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN RYDER Counselor Mental Health 540-200-8972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-08-11 |