| NPI | 1972838449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE AUGUSTUS ALLEN President 804-919-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1322) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |