| NPI | 1003924812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE D. KING Office Manager 757-564-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-11-05 |