| NPI | 1659097384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA HORTON Office Manager 434-386-8983 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-07-14 |