| NPI | 1821181736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN H OGLE President 276-429-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001976) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-03-04 |