| NPI | 1003366469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR COLEMAN CEO 888-978-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1916-05-002) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |