| 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 |