| NPI | 1871800300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA B TOYE Program Director 757-675-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007272) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102130) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102594) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |