| NPI | 1235461849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. JOHN BAMISILE CEO 804-745-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1528-05-001) |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2010-02-06 |