| NPI | 1427105063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN SYMEONIDES CEO 804-244-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 977) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-05-31 |