| NPI | 1184965246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISSY MCCONNAUGHY Owner 540-797-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0133000023) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |