| NPI | 1215562228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORECCO GREENHOW Director 804-752-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |