| NPI | 1043464209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A. DORRIS Owner 757-306-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003738) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2013-02-25 |