| NPI | 1962705012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J ROUTH Managing Director 804-338-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0701003502) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |