| NPI | 1477646891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC INGRAM President 804-440-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 79405001) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2009-09-11 |