NPI | 1679064570 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND EDWARD LONEY CEO 804-308-3948 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-05-25 |
Last Update Date | 2018-05-25 |