| NPI | 1780056929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENEISS PATIENCE ONYANGO Owner 804-461-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004699) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |