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 |