NPI | 1326367475 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA ANTOINETTE WRIGHT Clinical Director 804-714-8377 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701048009) |
Enumeration Date | 2010-05-27 |
Last Update Date | 2010-05-27 |