NPI | 1073766515 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY ANN TIBBS Director 434-426-1311 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 102705001) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2008-10-28 |