| NPI | 1578904876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY ETZLER Virginia State Director 540-381-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 158 02 029) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |