| NPI | 1932654340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WOODROW CABANISS Owner/Executive Director 804-869-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |