| NPI | 1700962537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ZIEHL Chief Operating Officer 804-353-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 193) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-07-11 |