| NPI | 1033539820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA BERNNADETTE DAVIS-FORTUNE Owner 804-901-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008281) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |