NPI | 1902138100 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDYCE CONNER Owner/Operator 804-502-9847 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004235) |
Enumeration Date | 2010-02-12 |
Last Update Date | 2010-02-12 |