| NPI | 1124314505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREAMEL SPADY Licensed Clinical Social Worker 804-537-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006941) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-06-14 |