| NPI | 1861722613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE HUNT Executive Director 804-482-1372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 1311-03-001) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |