| NPI | 1114343159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J MATTOCKS CEO 434-238-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 199403001) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |