| NPI | 1215123179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES G FLYNN Secretary Office Manager 804-378-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |