| NPI | 1710163084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLIN R STEIDER Owner 804-241-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0904000957) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |