| NPI | 1720293772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. EISENHOWER Lcsw 757-373-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904000683) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-08-03 |