| NPI | 1326414640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVIS CEO 434-222-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2620) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |