| NPI | 1821436338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKEISHA SHENNILLE HITE Clinical Director 804-330-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1949) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |