| NPI | 1871453142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RIVERA COO 804-401-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-12-09 |