| NPI | 1407123730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN E CEPHAS Clinical Social Worker 540-580-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0904003772) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC LC302328) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2014-08-11 |