| NPI | 1376623660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI LARIVIERE Director 434-239-6057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 289) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |