| NPI | 1679510226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA WULF-HELLER Clinical Services Director 804-862-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VA 0904002353) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-09-15 |