Organization Name: | HOLSTON UM HOME FOR CHILDREN |
NPI Number: | 1669578886 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANNA WILSON (DIRECTOR) |
Mailing Address: | 300 Moore St Ste A Bristol |
State: | VA US |
Postal Code: | 242014337 |
Phone Number: | 2765915301 |
Fax Number: | 2765915304 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |