| NPI | 1104109180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELMORE Executive Director 540-943-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |