| NPI | 1861913741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JANES YATES Owner 804-933-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2026-07-14 |