| NPI | 1639202765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PAUL MARKS Owner 434-426-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003934) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-01-26 |