| NPI | 1790531937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT DROSTE Treasurer 540-445-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |