| NPI | 1467168302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE DEVON PERSON Executive Director 804-530-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |