| NPI | 1376792952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA GAIL JOHNSON-SION Executive Clinical Director /Presid 757-729-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701003104) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |