| NPI | 1902111891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TAYLOR Owner 804-780-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 151005001) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |