| NPI | 1437550217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNITA KAYE ELLIS License Professional Counselor 804-520-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701005361) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |