| NPI | 1902095052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE HEDGES HORST President 434-996-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0101057104) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |