| NPI | 1538120670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F. BEBEAU Executive Director 434-799-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-08-14 |