| NPI | 1205208154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C HOWARD Owner 804-839-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A10703) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-07-20 |