| NPI | 1861947731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RICHARD RUSCITO Owner/Therapist 540-466-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701004804) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |