| NPI | 1528391851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE PHYLLIS KALLIO Owner 804-319-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004667) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2013-01-16 |