| NPI | 1891892469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON B MEKHOUBAT Director 804-717-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2022-07-21 |