| NPI | 1962683466 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY MURDOCK LEA President 804-864-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701002283) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000042) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000407) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |