| NPI | 1710288071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY DEMARZIO Owner/Program Director 804-426-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1175-03-001) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2017-11-01 |