| NPI | 1447065131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMAR ANDRE BLIZZARD Executive Director 804-356-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |