| NPI | 1144364373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN DAVIDSON Clinical Director 540-943-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003917) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |