| NPI | 1023595089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLETTA DARVILLE Owner/Service Facilitator 804-399-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 577087) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |