| NPI | 1235557042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY B. TAYLOR Director 540-412-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1890-02-006) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-06-10 |