| NPI | 1265670467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRYON GEHO President 540-344-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0718000122) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701002543) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000806) | |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |