| NPI | 1962743153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L VENZIE Licensed Professional Counselor 276-768-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA 0701004487) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |