NPI | 1407945363 |
---|---|
Other Name | LFTC OF VA, PC-THERAPEUTIC OPTIONS |
Entity Type | Organization |
Authorized Contact | RONALD DEVIN BEVERLY President 757-262-1461 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000158) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003321) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |