| NPI | 1184426876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE VIA Operations And Billing Manager 540-830-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-04-08 |