| NPI | 1346499233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN FITZGERALD JACKSON Chief Executive Officer 804-501-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA S242537-1) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2012-03-28 |