| NPI | 1598900482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY DEMARZIO Own/Program Director 804-426-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 1175-05-01) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 1175--05-001) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2018-07-05 |