| NPI | 1255851283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY K BUSH President/Provider 540-525-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |