| NPI | 1417249186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A WHITE Chief Executive Officer 804-447-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1313-03-001) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |