| NPI | 1689202012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN BENSON RICHARDSON Owner/CEO 804-608-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2022-01-07 |