NPI | 1750750287 |
---|---|
Entity Type | Organization |
Authorized Contact | JON D MORRIS CEO 540-710-6085 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 158 02 029) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2015-09-15 |