| NPI | 1316159221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA H METZ Administrator 804-282-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-08-11 |