| NPI | 1003342445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERRY RAWLINSON Executive Director 804-908-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2076) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |