| NPI | 1093826109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BURNEY Co Owner 757-466-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004800) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-09-06 |