| NPI | 1790176899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE LAVERNE WILKERSON Owner 804-733-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 5434685) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |