NPI | 1700964186 |
---|---|
Other Name | THERESA JOHNSON SION OWNER |
Entity Type | Organization |
Authorized Contact | THERESA GAIL JOHNSON SION Executive Clinical Dir President 757-576-7711 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003104) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |