| NPI | 1710575816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WEAVER Clinical Director. 804-517-5921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-13 |