| NPI | 1265292841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE SHANEL LEE License Clinical Social Worker 804-480-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-04-30 |