NPI | 1154496966 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA A VANLANDINGHAM Fiscal Administrator 757-547-9334 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701001880) |
Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904003047) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |