| NPI | 1205289824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAMONT LEE CEO/President 434-688-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 216605001) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |