| NPI | 1326322819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SUE OAKES Administration Coordinator 804-980-7219 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 352) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2022-08-10 |