| NPI | 1174896641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE JEANETTE HUNT Owner 276-619-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904003295) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-22 |