NPI | 1558841445 |
---|---|
Entity Type | Organization |
Authorized Contact | BYRON PORCHER Director 804-514-8740 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2359) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2018-08-20 |