| NPI | 1912619230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMETT JONES Owner/Provider 804-307-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |