| NPI | 1013175629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE INEZ JOHNSON Co Executive Director 804-304-5134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: VA 32205001) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |