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 |