| NPI | 1760789200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEATRICE DENISE DELK Executive Director 804-382-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1394) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |