| NPI | 1144501313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA SUE YOPP Owner/Administrative Director 540-352-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1753-03-001) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2019-02-01 |