| NPI | 1710498993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E. WOODSON CEO 804-521-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |