| NPI | 1265699870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E CRANE Chief Financial Officer 434-634-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 278-05) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 278-05) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 1376-05-001) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2011-06-16 |