| NPI | 1801100862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLYNN PHILLIS SMALL President/CEO 804-967-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810004046) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |