| NPI | 1528086238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE ZITO HENSLEY Owner 804-270-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904000405) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-04-09 |