| NPI | 1780373373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA AILENE PEARSON Owner 804-477-2518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |