| NPI | 1205875127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D BORGENS D Irector/Owner 540-349-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0904000285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904000285) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904000285) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0904000285) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-24 |