| NPI | 1124225933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EUGENE WOODSON C. E. O. 804-520-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 071011358350) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |