| NPI | 1477066017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CORBETT BLACKWELL Owner 540-272-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003055) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |