| NPI | 1982901245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LATIMORE TAHA Execuitve Director/Owner 804-399-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1392) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |