| NPI | 1831825793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MITCHELL HARRIS Billing Specialist 540-586-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |