| NPI | 1720392319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E WOODSON Executive Director 804-521-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 942) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2014-10-24 |