NPI | 1538605613 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE BURCHAM Director 804-768-7221 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0001231847) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2017-01-12 |