| 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 |