| NPI | 1417210899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREIDA M. KING Accounting Manager 540-562-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 272) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |