NPI | 1609367796 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WILLIAMS MARTIN President 804-314-2180 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904002765) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2018-05-23 |