| NPI | 1871932285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BOGERT Executive Director 804-612-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 295-07-001) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-09-24 |