NPI | 1154856656 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA MARIE CONORD Owner 540-370-6983 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006733) |
Enumeration Date | 2017-04-22 |
Last Update Date | 2025-09-30 |