| NPI | 1902285174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTA HILL COO 804-552-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2025-06-23 |