| NPI | 1346709615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYESHON DAVIDSON Chief Executive Officer 804-454-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2020-01-29 |