| NPI | 1679896815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A POWELL Clinical Social Worker 804-363-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007298) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-12-05 |