| NPI | 1174984348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FORBES Owner 540-353-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008116) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2024-04-24 |