| NPI | 1982590618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA POWELL DIERDORF Owner 804-929-1354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-08-21 |