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 |