| NPI | 1801039904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMISE DASHIKA CROSSIN Director Of Service 804-218-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1120) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |