| NPI | 1104161959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONA SHEFFIELD Executive Director 804-937-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1864-03-001) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |