| NPI | 1770522559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RICHARD HEVER Co Director 276-623-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701001513) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701001513) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |