| NPI | 1013244144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA WARNER Coordinator 540-525-8447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 05202030) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |