| NPI | 1457723363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIE V ROBERTS Administration 804-523-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1396-01-001) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |