| NPI | 1306827852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILA G HASTINGS Office Manager 804-592-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2013-03-14 |