| NPI | 1942778220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JACKSON Chief Executive Officer 434-229-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |