| NPI | 1720237266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MARK O'SHEA Lcsw 804-744-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001638) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |