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 |