| NPI | 1982935359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALEXANDER PARSON CEO 804-230-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 788) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 788-17-001) |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2010-02-11 |