| NPI | 1063838126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L CUAVE President 540-722-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |