| NPI | 1841891488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD W. BERRY Co Owner 804-447-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2023-01-27 |