NPI | 1104371350 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ABDELMAGID Owner 804-252-4118 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1492-03-001) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2016-08-17 |