| NPI | 1720412182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA JACQUELINE HERRON Owner/President 540-484-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904007570) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |