| NPI | 1932939915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMITA PERRY CEO 804-874-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-10-28 |