| NPI | 1669527958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH E FENDER President 540-639-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004405) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |