| NPI | 1225368905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CAPRICE CULBRETH CEO 804-267-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 127905001) |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2010-01-02 |