| NPI | 1023458684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE V. HAWKINS Manager 757-777-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002589) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |