| NPI | 1356789309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE C PROBST Owner 540-827-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008147) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |