NPI | 1861654022 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C FIDGEON President 540-710-6085 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 15802029) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |