| NPI | 1851727499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CLANCEY Owner/Clinician 540-718-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007548) |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2013-09-14 |