| NPI | 1639566789 |
|---|---|
| Doing Business As | INTERCEDING CONSULTANT |
| Entity Type | Organization |
| Authorized Contact | EDWARD TILLMAN CEO 804-301-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-05-26 |