| NPI | 1033130109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CAREEN KAHWAJY Program Director 804-282-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 066) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |