| NPI | 1598811572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE G WARDEN Owner 757-428-0483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001465) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |