| NPI | 1538446679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANDA DENISE HICKMAN CEO/ Owner 804-908-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1504) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2022-07-21 |