| NPI | 1740716901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER SHAFFER Owner 434-322-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0701006562) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |