| NPI | 1720787393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ALLEN MASON Owner/Executive Director 804-426-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |