| NPI | 1780833160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B PARKER President 540-450-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 0701002746) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0701002746) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |