| NPI | 1285004101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN M PRYOR Manager 804-543-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |