| NPI | 1568724342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MOTLEY Owner 804-239-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1073848784) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |