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 |