| NPI | 1912684986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANANDI HALL Chief Executive Officer 804-654-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 261QM0801X | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-07-03 |