| NPI | 1154496966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A VANLANDINGHAM Fiscal Administrator 757-547-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0904003047) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701001880) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-09-11 |