| NPI | 1861529927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE GRAHAM Executive Director 804-327-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA LPC0701003887) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000003) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |