| NPI | 1457760118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON ASHWORTH VP Of Operations 757-827-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002090) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2024-01-29 |