NPI | 1184172413 |
---|---|
Entity Type | Organization |
Authorized Contact | EURONDA TRAVIS Clinical Director 804-621-4249 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2564) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2016-09-15 |