| NPI | 1265860308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ASHTON SMITH President 757-460-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006837) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |