| NPI | 1366805673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MICHAEL WINDER Licensed Professional Counselor 434-239-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701001158) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |