| NPI | 1366727984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEMAR BOWERS Chief Executive Officer 804-737-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1588) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2016-07-21 |