| NPI | 1619383072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN G MYERS Owner 276-275-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001549) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-05-28 |