| NPI | 1386309045 |
|---|---|
| Doing Business As | ACACIA COUNSELING AND CONSULTATIVE SER |
| Entity Type | Organization |
| Authorized Contact | DOMONIQUE WILSON Owner/Operator 434-414-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2021-11-07 |