| NPI | 1538693007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PRICE NAZWORTH Owner 804-221-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008735) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |