| NPI | 1659818409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMY JONES THOMPSON Executive Director 804-986-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2595) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |