| NPI | 1811328826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MANION Owner 804-338-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005506) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2015-05-13 |