| NPI | 1063799260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE R BARNER President/CEO 804-721-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0701003050) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |