| NPI | 1548421977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKETA C REED Executive Director Of Finance 804-677-9326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1064) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |