| NPI | 1114237476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WRIGHT CAC Mh Program Coordinator 804-643-7226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004755) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |