| 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 | 2025-12-15 |