| NPI | 1548766231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA FAYE SUMMERS Owner 434-466-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007055) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |