| NPI | 1396774147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR SMITH Accounting Specialist 276-525-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA DMHMRSAS) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-03-12 |