| NPI | 1720244106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN COLEMAN NEWBY Owner 804-991-3491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 40005001) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |