| NPI | 1942304126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA DUNCAN Billing Manager 540-961-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-04-24 |