| NPI | 1356923783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVENE ANN MATHIS Owner/Clinical Social Worker 540-805-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2023-02-24 |