| NPI | 1780929364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACEY TUCKER Chief Executive Officer 804-943-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 07266125) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |