| NPI | 1730416322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DORSEY Director 804-479-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1403) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |