| NPI | 1003058033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M GRIFFIN President 757-484-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904000811) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2010-06-14 |