| NPI | 1770904849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE LOUISE BUTLER Owner 1540-683-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0904007186) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |