| NPI | 1215263538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ELIZABETH MASON Administrator/Owner 804-523-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |