| NPI | 1851355275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MCCLURE Facility Director 276-783-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VA 30214001) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |