| NPI | 1316229776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN TILLEY Director Of Operations 804-592-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904006290) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |