| NPI | 1427403476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITONI LEVON CRENSHAW Executive Director 804-712-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2458) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |