| NPI | 1831748029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENE JOHNSON Owner 804-615-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-09-10 |