| NPI | 1265820880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY HAIRSTON EVERETT Executive Director 540-354-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2019-01-001) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |