| NPI | 1669924676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE COUCH Counselor/Co Owner 540-373-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006396) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |