| NPI | 1407212079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE REGINA SIMS MAWUSI Licensed Clinical Social Worker 757-315-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004904) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |