| NPI | 1952582850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KAVANAUGH DOUGLAS Owner 804-282-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0015000655) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |