| NPI | 1144868431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WATTERS Licensed Clinical Social Worker 757-333-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |