| NPI | 1558729384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEMIA PORCHER Owner 804-514-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2359) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |