| NPI | 1306008438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EARL BANKS Program Director 804-353-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1088) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |