| NPI | 1679717151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM STELLER Executive Director 540-345-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904006919) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |