| 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 |