| NPI | 1760638787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA DAVIS Executive Director 804-248-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1149-05-001) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2008-08-10 |