| NPI | 1003294380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA D KNIGHT Owner 804-317-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701004965) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-10 |