NPI | 1760147391 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN MOORE Owner 804-605-6320 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
225XM0800X Occupational Therapist, Mental Health | |
235Z00000X Speech-Language Pathologist, | |
251B00000X Case Management | |
261QP2000X Clinic/Center, Physical Therapy | |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
Enumeration Date | 2021-11-08 |
Last Update Date | 2025-07-07 |