| NPI | 1013350552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA A GREEN CEO 804-882-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004328) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701004328) |
| 101YP1600X Counselor, Pastoral (Licence: VA 0701004328) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701004328) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-22 |