| NPI | 1366983967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE V.S. RICHARDS Clinical Counselor 540-636-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |