| NPI | 1083464531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS CLAIBORN Program Administrator 804-683-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-05-02 |