| NPI | 1942973938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN DAVIS CEO 804-677-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-06-19 |