| NPI | 1194211599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DESHAY CARTER CEO 434-250-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2864-03-001) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |