| 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 |