| NPI | 1518591353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA MCINTOSH Executive Director 434-207-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2022-01-04 |