| NPI | 1245778018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY VARICK Owner/ CEO 804-594-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 186905001) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |