| NPI | 1366799611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA DAWN HOPRICH Behavior Analyst 540-588-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1119221) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |