NPI | 1053605766 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISON ANNE SULLIVAN Owner 540-907-0991 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904007615) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2011-05-31 |