| NPI | 1497202980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNELL PEARSON Owner 804-691-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 08029571) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |