| NPI | 1790045334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PULLIAM Director 804-285-9838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1654-07-004) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |