| NPI | 1811330517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM W WILLS Chief Administrative Officer 804-447-2139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |