| NPI | 1194196873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA JACKSON-BAILEY CEO 804-982-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2598) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |