| NPI | 1083129126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED LLOYD ROBRECHT Owner 540-312-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904010077) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |