| NPI | 1992099873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L WALKER Owner 804-525-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 905-02-014) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-01-28 |