| NPI | 1013118942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H PAIGE President 757-640-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001199) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |