| NPI | 1679103295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ALBICKER WILSON Owner/Therapist 804-495-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-06-05 |