| NPI | 1396110003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDALYN BELTON-BROWN Program Director 804-516-4834 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0134000134) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |