| NPI | 1154734440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VARNER Office Manager 804-768-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005810) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |