| NPI | 1790094340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON C HUDSON Chief Executive Officer 804-541-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1082) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |