| NPI | 1275839250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA M. PHIPPS Persident 434-336-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002630) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |