| NPI | 1902949373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA (CINDY) J GRAVELY Director Of Finance&Adminstration 540-344-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 941) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |