| NPI | 1114170560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA F. FEREBEE Operating Manager 804-425-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004365) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2009-01-14 |