| NPI | 1487090429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAWANNA EVETTE WARD CEO 757-535-7839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 09040007534) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |