| NPI | 1528330800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER B. BLAIR Sole Owner 540-774-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: VA 0101022440) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |