| NPI | 1528794419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY WALTERS CEO 540-892-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251B00000X Case Management | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |