| NPI | 1750884813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS PHILLIPS Director Of Finance And Accounting 804-562-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-06-16 |