| NPI | 1932241130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON L PRATT Director 804-614-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904006485) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-12-09 |