| NPI | 1558608158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERESEA L FORD Owner 804-525-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005286) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |