| NPI | 1760704852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FRANCES HENSLEE Owner/Manager 276-228-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005070) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2012-02-06 |