| NPI | 1508005885 |
|---|---|
| Former Legal Business Name | TRINITY111 |
| Entity Type | Organization |
| Authorized Contact | CARY RICHARD FOX President 804-931-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2011-08-05 |