| NPI | 1023103124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA LEE MATHEWS Licensed Clinical Social Worker 757-622-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |