| NPI | 1770903379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE THOMAS JOHNSON Sole Proprietor 540-809-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003387) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |