| NPI | 1740366566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENITA WILLIAMS Program Director 804-344-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 572) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-08-10 |