| NPI | 1871863571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE MORGAN AO 804-231-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X Community/Behavioral Health (Licence: VA 1562-05-001) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2025-05-22 |