| NPI | 1154422764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HARTLE Business Director 434-219-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TF0200X Psychologist, Forensic | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-01-05 |