| NPI | 1972216372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLVIN DRAYTON Owner 804-590-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-01-01 |