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 |