| NPI | 1649482860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE STEVENSON Director And CEO 540-727-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003772) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |