| NPI | 1760792832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY SUE SPLETTSTOESSER Executive Dir.Of Clinical Operatio 804-836-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006885) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |