| NPI | 1487148359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE TAYLOR Owner 804-621-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004430) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-12-13 |