| NPI | 1306151477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J KEHOE Directro 804-646-3902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 93805001) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |