| 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 |