| NPI | 1114366978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M GARCIA-SAMUELS CEO 804-551-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1763) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |