| NPI | 1932461852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK KELLY Executive Director 804-479-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1418) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |