| NPI | 1699649343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KENT Owner And Lpc 540-456-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2026-07-09 |