| NPI | 1982579223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT COX Clini9cal Director 804-216-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |