| NPI | 1174905335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUEANN FAITH SCHWILLE Vice President/Clinician 540-252-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008870) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |