| NPI | 1467695338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOBI JERON MULLINS Executive Director 804-355-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 875-05) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |