NPI | 1023313590 |
---|---|
Entity Type | Organization |
Authorized Contact | DERWIN HICKMAN Chief Executive Director 804-328-1979 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 792-03-011) |
Enumeration Date | 2011-01-14 |
Last Update Date | 2011-01-14 |