| NPI | 1609246974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LUNGREN Lcsw 434-962-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904007809) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |