| NPI | 1225517642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE LYNN PENDLETON Owner/Licensed Clinical Social Work 804-840-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004927) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |