| NPI | 1104255678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHALIA EASON Owner 540-656-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005618) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701005618) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701005618) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701005618) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-02-25 |