| NPI | 1033138227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C NICHOLSON Owner, President 757-869-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904003048) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-06-25 |