| NPI | 1326823618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH VALLANDINGHAM Owner 740-586-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-11-06 |