| NPI | 1013210178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN F. JACKSON Cheif Executive Officer 804-477-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1162) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2013-12-03 |