| NPI | 1043563950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BOWER CEO/President 540-376-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005331) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |