| NPI | 1891941696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ULBRICHT Lcsw 540-899-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904000499) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |