| NPI | 1295253433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SYKES CAO 804-928-5597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 1350-02-002) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |