| NPI | 1790203263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOUSS JOSEPH Director Of Services 540-369-8183 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102690) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 1109) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |