| NPI | 1821156456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETA SPICER Director 276-889-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004045) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |