| NPI | 1083082226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNINE MORITZ Owner 804-519-7982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008872) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |