| NPI | 1487054342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN EDWIN WEST Director 434-660-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004035) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |