| NPI | 1932479599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA S. ROBERTSON Owner 804-218-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0904006220) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |