| NPI | 1750219051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HOLLEY CEO 804-909-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-07-07 |