NPI | 1699977504 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI LYNNE CREASY President 434-610-0921 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003732) |
Enumeration Date | 2007-06-03 |
Last Update Date | 2008-10-17 |