| NPI | 1013348481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA NICHOLSON Member 540-373-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008025) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2024-04-03 |