| NPI | 1912606757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DANCE CEO/Owner 804-926-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |