| NPI | 1154856656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA M CONORD Owner 540-220-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006733) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2022-11-16 |