| NPI | 1407900079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY LYNN GALLACHER President 276-695-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005571) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-07-15 |