| NPI | 1205618824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LETCHFORD Licensed Clinical Social Worker 540-355-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |