| NPI | 1043599129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILROY DELANO POINDEXTER Owner/Counselor 804-382-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101910) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |