| 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 |