NPI | 1588937379 |
---|---|
Entity Type | Organization |
Authorized Contact | IDA M NELSON Co Owner 804-363-8964 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 0710102443) |
Additional Taxonomies | 251B00000X Case Management (Licence: VA 0710102443) |
251S00000X (Licence: VA 0710102443) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102443) | |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-11-06 |