| NPI | 1942270699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ALLEVATO Director Of Reimbursement 434-970-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-10-06 |