| NPI | 1659693034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON C HUDSON CEO 804-541-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1082-05) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |