| NPI | 1356514111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL VIRGINIA PURCHASE President 804-320-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904001006) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |