| NPI | 1881392652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E BEDELL Counselor 540-742-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-06-28 |