NPI | 1669546875 |
---|---|
Entity Type | Organization |
Authorized Contact | NORMA S WHITE Clinical Director 434-316-9339 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002466) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2012-08-08 |