| NPI | 1629351689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M GRACE ILORI Director 804-937-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |