NPI | 1073750030 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA WARNER Coordinator 540-525-8447 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2009-01-13 |
Last Update Date | 2009-01-13 |