| NPI | 1518298983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PARSON Owner/CEO 804-310-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1582) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 1582-01-011) |
| 251S00000X Community/Behavioral Health (Licence: VA 1582-02-006) | |
| 251S00000X Community/Behavioral Health (Licence: VA 1582-02-029) | |
| 251S00000X Community/Behavioral Health (Licence: VA 1582-03-001) | |
| 251S00000X Community/Behavioral Health (Licence: VA 1582-05-001) | |
| 251S00000X Community/Behavioral Health (Licence: VA 1582-07-001) | |
| 251S00000X Community/Behavioral Health (Licence: VA 1582-17-001) | |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2023-05-01 |