| NPI | 1770759540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DOYLE Executive Director 540-667-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904005192) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |