| NPI | 1043376866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ADCOCK Director 804-354-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: VA 746) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: VA 746) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-09-26 |