| NPI | 1730136151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY FLANAGAN Fiscal Officer 540-965-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 12716001) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2025-05-19 |