| NPI | 1023021441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ AMALYA GONZALEZ Director Bilingual Instructor 540-372-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 0710102137) |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: VA 0710102137) |
| 302F00000X Exclusive Provider Organization (Licence: VA 0710102137) | |
| 170300000X Genetic Counselor, MS (Licence: VA 0710102137) | |
| 252Y00000X Early Intervention Provider Agency (Licence: VA 0710102137) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-02-16 |