| NPI | 1588656672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SMITH CRANDELL Managing Partner 540-667-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904003481) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904000958) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |