| NPI | 1871043539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA HOWERTON Counselor 434-709-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006649) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-15-04593) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2017-01-30 |