| NPI | 1578902599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LENORA COLEMAN CEO/President 804-943-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1912) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2016-09-02 |