| NPI | 1043516727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L SIMMS Co Owner 540-270-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 07011004763) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102319) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |