| NPI | 1497996615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E RICE Clinical Director 434-316-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003338) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |