| NPI | 1295969145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAROME KENNEY CEO 804-279-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 349-14-002) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-07 |