| NPI | 1528216199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN STICKLEY President 804-266-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0001020234) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |