NPI | 1558881128 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELLO MADISON President/CEO 757-921-2762 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007132) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2017-06-23 |
Last Update Date | 2024-03-01 |