| NPI | 1164723706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANTHONY DAVIS CEO 804-675-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1431-05-001) |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2010-11-13 |