| 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 |