| NPI | 1225440522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L LEE CEO 540-965-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701002284) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2025-08-19 |