| NPI | 1801248042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET A SUFFEL Owner 540-642-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004876) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |