| NPI | 1225475130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROBERT BAND Owner And Sole Member 540-846-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701001517) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 07170000) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2014-07-31 |