| 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 |