NPI | 1679932396 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE BLONDINO Owner 434-237-9450 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 01402014) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2021-10-27 |