Holston Um Home for Children

NPI #1669578886 in Bristol, Virginia

Provider Information

NPI Number: 1669578886
Entity Type: Organization
Organization Name: Holston Um Home for Children
Primary Specialty: Counselor
Enumeration Date: Sep 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 300 MOORE ST STE A
City: Bristol
State: Virginia
ZIP Code: 24201-4337
Phone: (276) 591-5301

Authorized Official

Name: MRS. DIANNA WILSON
Title: DIRECTOR
Phone: (276) 591-5301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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