| NPI | 1154602639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S. CLATTERBUCK Director/Resident 540-432-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1691-05-001) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |