| NPI | 1144096322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE SAMITT Owner 804-767-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |