| NPI | 1578887295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD BRYANT Executive Director 540-885-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1326) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |