| NPI | 1497845333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A HOOPER Clinical Director 757-313-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001615) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701002555) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-10-04 |