| NPI | 1457821001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JONES CEO 804-213-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-02-19 |