| NPI | 1245785401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELE CHEWNING Owner 804-795-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2883-05-001) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |