| NPI | 1609166370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON C HUDSON Chief Executive Officer 804-541-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |