NPI | 1154739894 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HUTCHINSON PULLEN Sole Practitioner 804-510-0142 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006073) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2015-02-12 |