| NPI | 1003320540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EL-FREIDA MAE KING Controller 540-562-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 272) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-06-16 |