| NPI | 1770655409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA S WARNER V Pres 276-628-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-11-17 |