| NPI | 1467607580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GL PULLIAM Director Of Residential 804-285-9838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 40608011) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |