| NPI | 1083860886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENITA WILLIAMS Clinical Director 804-344-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 572-07-005) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |