| NPI | 1003367525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SUE OAKES Administration Coordinator 804-980-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 352) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-08-10 |