| NPI | 1750515094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WIGGINS Chief Financial Officer 804-301-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1429-05-001) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2014-02-05 |