| NPI | 1790465938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS GARLAND Owner 804-332-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2024-05-07 |