| NPI | 1275813347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JO SOLLEY COO 540-446-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904007474) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-03-21 |