| NPI | 1992162044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY GRIFFITH Manager 276-300-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009274) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005453) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001297) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2021-01-23 |