| NPI | 1770555096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PRESTON LEGGETT President 540-776-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: VA 0101049756) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: VA 0101049756) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |