| NPI | 1821235557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAY TOLIVER-HARDY Director 540-915-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0904006914) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710001076) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |