| NPI | 1740831742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ELIZABETH HIGGINS Owner, Lpc 540-223-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |