| NPI | 1700116464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | N. CLARK EARL Executive Director 757-213-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 897) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |