NPI | 1790232353 |
---|---|
Former Legal Business Name | THREATT COUNSELING AND BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | CHARITA L THREATT Therapist 804-318-9601 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: VA 0701006556) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-12-19 |