| NPI | 1528199932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A ZAWODNY Financial Officer 757-455-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-09-11 |