| NPI | 1265704407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EUGENE WOODSON Executive Director 804-521-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 942) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |