| NPI | 1982041000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY ETZLER Va State Director 540-381-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 158 02 014) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |