| NPI | 1619264892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT WILKERSON President And CEO 434-534-9329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1913) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-11-15 |