NPI | 1659255875 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE CRILLEY Owner 540-294-2968 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-08-01 |
Last Update Date | 2025-08-01 |