| NPI | 1679263453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAJAH AISHAH MAY CEO 434-294-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |