| NPI | 1215231329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENISE HARRIS CEO 804-852-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1126-03-001) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |