| NPI | 1790005205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE SCOTT Owner 804-591-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 133505001) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |