NPI | 1043612104 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON C HUDSON Executive Director 804-621-4034 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2548) |
Enumeration Date | 2014-09-20 |
Last Update Date | 2017-02-06 |