| NPI | 1639322803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM W WILLS Chief Administrative Officer 804-447-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2020-03-04 |