| NPI | 1407014509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN W PHILLIPS Executive Director 757-623-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral (Licence: VA 0701000401) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2012-02-29 |