| NPI | 1356494587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA K. DAVIS Manager 434-293-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003073) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |