NPI | 1932792389 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL R TAPP Billing & Credentialing Manager 434-219-5039 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-02-17 |
Last Update Date | 2021-02-17 |