| NPI | 1265401194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL WOOD ROBERTSON President 757-873-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701000467) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |