| NPI | 1922596675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEMA MOORE CEO/Owner 804-247-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-08-17 |