| NPI | 1720850613 |
|---|---|
| Doing Business As | A SALT PATH |
| Entity Type | Organization |
| Authorized Contact | CHARMAINE FENNELL CEO 804-980-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |