| NPI | 1396998480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L. COFFEY Director 540-220-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1172) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2010-03-15 |