| NPI | 1083692909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN P BALDWIN Owner 276-628-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005969) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-12-27 |