| NPI | 1679939029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CRAYTON Office Manager 757-913-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 904007102) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |