| NPI | 1700956398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A JOCKIN Owner 540-310-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004481) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-02-19 |