| NPI | 1780100552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISHA NICOLE SMITH CEO 804-304-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006757) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2024-01-10 |