| NPI | 1831951540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BARLOW Owner 804-920-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-02-11 |