| NPI | 1760751663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN TAYLOR CEO 804-274-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1048-03-001) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |