| NPI | 1669243200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDAVIA MCPHAIL Human Resource Manager 804-479-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |