| NPI | 1376747253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KENNETH ANDERSON Director 804-225-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 36014001) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |