| NPI | 1518326164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L DAVIS Presidents/Director 804-300-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |