| NPI | 1659520815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAINIE R HINNANT Owner 804-643-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003104) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2010-01-25 |