| NPI | 1326536707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE JENKINS Owner 540-760-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |