| NPI | 1417975806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SANTY Office Manager 540-777-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-03-27 |