| NPI | 1760748727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GRAINGER Office Manager 757-631-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004311) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |