| NPI | 1588282883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BUMGARNER SMITH CEO/Director Of Clinical Operations 540-412-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-09-12 |