| NPI | 1497826135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA DENISE LUCAS Director 804-230-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 68714001) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |