| NPI | 1700297876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CALLAHAN Owner 540-685-4298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1910-03-001) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2015-01-20 |