Organization
HOLSTON UM HOME FOR CHILDREN
Active
Other names
Holston Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA WILSON (DIRECTOR)
(276) 591-5301
Entity
Organization
Contact information
Practice address
300 MOORE ST STE A, BRISTOL, VA 24201-4337
(276) 591-5301
(276) 591-5304
Mailing address
300 MOORE ST STE A, BRISTOL, VA 24201-4337
(276) 591-5301
(276) 591-5304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
569
VA
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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