| NPI | 1154413771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M BLONDINO Administrative Coordinator 434-237-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-07-18 |