| NPI | 1740429158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MARIE BUTTS-VALENTINE Agency Director 571-406-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2024-10-10 |