| NPI | 1033388590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE CHADWICK PARKER Executive Director 804-501-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 06858781) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |