| NPI | 1407215098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI BUONO Vice President 804-931-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2330) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |