| NPI | 1285931667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA J. MOORE Director 540-898-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1642-01-001) |
| Enumeration Date | 2011-02-19 |
| Last Update Date | 2011-02-19 |