Organization Name: | TIES THAT BIND, INC. |
NPI Number: | 1578632758 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILMA D DALABA (EXECUTIVE DIRECTOR) |
Mailing Address: | 3065 George Washington Memorial Hwy Hayes |
State: | VA US |
Postal Code: | 230723300 |
Phone Number: | 8046422652 |
Fax Number: | 8046849669 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |