| NPI | 1659435220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOBI JERON MULLINS Executive Director 804-355-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 875) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |