| NPI | 1174605745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GAIL MISCO President 540-776-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005798) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-03-17 |