| NPI | 1750463618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE P POLLARD Director/Administrator 804-520-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-02-29 |