| NPI | 1316077621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA S BAILEY Director 434-315-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3489) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-06-18 |