| NPI | 1417406224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN A KNIFFEN President 804-755-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904000931) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |