| NPI | 1043577034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RAY SCOTT Chief Executive Officer 804-319-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 180303001) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |