| NPI | 1841809829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JOHNSON License Professional Counselor 804-314-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |