| NPI | 1124471560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEL BEARD Licensed Professional Counselor 434-329-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701006595) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |