| NPI | 1437137734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J. VAUGHT Reimbursement Manager 540-345-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2015-01-12 |