| NPI | 1255643516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREIDA M KING Controller 540-562-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 272) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2021-01-11 |