NPI | 1891148185 |
---|---|
Entity Type | Organization |
Authorized Contact | JON D MORRIS Virginia State Director 540-710-6085 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 158 02 011) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-07-21 |