NPI | 1700150422 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA DEAN REID President 757-456-0505 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904000493) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2012-02-27 |