| NPI | 1386805463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ALLEN PONTON License Professional Counselor 434-447-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701003560) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |