| NPI | 1992164834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH YARBOROUGH TAFT Clinical Social Worker 571-285-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009260) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2016-02-21 |