| NPI | 1992239693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY Y WINGFIELD A Managing Member/ Owner 804-350-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |