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 |