| NPI | 1558509646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL GRIFFIN Owner 434-634-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810002844) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2011-02-17 |