| NPI | 1437441136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R. GILL Manager/Member 804-343-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004537) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |