| NPI | 1942699889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DIANA GARRIS Executive Director 804-722-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: VA 261QA0600X) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |