| NPI | 1124351432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA COATES Owner 804-972-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004542) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-10-06 |