| NPI | 1497760193 |
|---|---|
| Former Legal Business Name | THE VIRGINIA INSTITUTE FOR SYSTEMIC TREATMENT |
| Entity Type | Organization |
| Authorized Contact | BRUCE SANFORD EVANS Owner 804-365-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 72405001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000980) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-11-26 |