| NPI | 1174957120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA MARIES LEWIS Owner 804-240-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007284) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |