| NPI | 1982248704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANA A GRAY Owner/Partner 804-296-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |