| NPI | 1942509955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMISE DASHIKA CROSSIN Director Of Services 804-218-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 112003001) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |