| NPI | 1336573872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ANTHONY GOODE Executive Directer 804-869-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 1986-03-001) |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2017-11-16 |