NPI | 1982377404 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA BABB Owner 804-920-3451 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-29 |
Last Update Date | 2021-12-08 |