NPI | 1215177266 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA ELIZABETH GILES Licensed Clinical Social Worker 434-293-3165 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006888) |
Enumeration Date | 2009-03-04 |
Last Update Date | 2009-03-04 |