| NPI | 1841419652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PAYNE PETREY Vice President 804-257-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |