| NPI | 1124679147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY HARRIS Owner 434-603-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |