| NPI | 1417482134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA KAY DANIELY CEO/Program Director 804-269-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2678) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |