NPI | 1720891609 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAAN ROCHESTER Owner / Chief Executive Officer 804-677-9928 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-01-27 |
Last Update Date | 2025-01-27 |