| NPI | 1295983914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE C STARKE Executive Director 804-733-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701003843) |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-09-06 |