| NPI | 1114364858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA NICOLE MOTLEY CEO 804-239-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1299) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |