| NPI | 1245729797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENISE BENZINA MAZYCK Owner 804-787-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010177) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |