| NPI | 1316180466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KERRY SUE LEAVITT Owner 434-296-9740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004341) |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2009-04-18 |