| NPI | 1083778039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EUGENE NOLLEY Partner 540-825-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001123) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-03-11 |