| NPI | 1376742486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GOWIN Director 434-808-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004772) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-02-29 |