| NPI | 1275926776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ELIZABETH BLACK Director 540-842-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 23578) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |