| NPI | 1831410109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH DAVISON BALDWIN Sole Proprietor 804-754-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0904007270) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-12-17 |