| NPI | 1528584331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MITCHELL Owner 540-293-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009910) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |