| NPI | 1932965571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRON A DENNIS CEO 804-894-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |