| NPI | 1053433615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE SACKS Owner 434-979-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002205) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-07-08 |