| NPI | 1699482919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HARTLE Business Director 434-219-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-01-05 |