| NPI | 1669857066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY DAWN KASEY Owner/Licensed Clinical Social Work 540-580-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904009079) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |