| NPI | 1710631205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL NORTH DESVERNINE President 804-357-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |