| NPI | 1811310261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THOMAS TIPP Owner 804-339-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904000857) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |