| NPI | 1043499163 |
|---|---|
| Other Name | AUGUSTA LEAGUE OF THERAPISTS |
| Entity Type | Organization |
| Authorized Contact | JAIME MARION Site Director 540-949-7045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |