| NPI | 1730608217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA WINFIELD Revenue Cycle Manager 804-807-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: VA 100032497) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2025-05-21 |