| NPI | 1336302611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PAUL MCCAULEY CEO 804-986-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 032-449) |
| Additional Taxonomies | 251C00000X (Licence: NC 032-449) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2015-11-20 |