| NPI | 1992959928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN FAISON Chief Operations Officer 804-553-3249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |