| NPI | 1508833294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY CAROL MOFFIT Therapist 540-343-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701002813) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000075) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |