| NPI | 1184111650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE BREEDLOVE Chief Executive Officer 804-591-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |