| NPI | 1093168841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNNE MCKOWN Clinical Social Worker 757-619-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005617) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |