| NPI | 1629588769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANNE WOODHOUSE Licensed Clinical Social Worker 757-544-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0904006013) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |