| NPI | 1811775513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA HARRIS Licensed Professional Counselor 804-475-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-11-10 |