| NPI | 1851689822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN A. MARION Owner 540-943-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004745) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |