| NPI | 1922284512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE K WENZEL President 804-273-9687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810001243) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |