| NPI | 1912496340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE JOHNSON Quality Assurance Director 434-473-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-04-24 |