| NPI | 1730782640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LETCHFORD Licensed Clinical Social Worker 540-355-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2020-11-21 |