| NPI | 1083992028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY MARTIN Sole Proprieter 804-572-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007104) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |