| NPI | 1750434718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LENORE BLANKENSHIP Business Owner 276-628-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003921) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-10-23 |