| NPI | 1114439221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAREETA TANELL GLASCO CEO/Executive Director 804-918-5715 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 249805001) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |