| NPI | 1295917359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY THOMAS Executive Director 804-586-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 78605001) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |