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