NPI | 1033506654 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL L PERKINS Partner 276-666-6569 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1750) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2015-08-09 |