| NPI | 1285182246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIKKA LASHELLE MASON Chief Clinical Officer 804-733-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |