| NPI | 1497871461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J SINGER Owner 804-330-0816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904000716) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: VA 0904000716) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |