| NPI | 1962878322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORETHA MARIE CLAIBORN Owner 804-855-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000231) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |