| NPI | 1891685087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL ABRAHAM COOPER CEO/Clinical Director 804-431-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-08-19 |