| NPI | 1255348108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER DALE KEETON President 703-356-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701000638) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |