| NPI | 1427090778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCIE M MAZZA Owner 804-543-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004664) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-01-16 |