NPI | 1730542440 |
---|---|
Entity Type | Organization |
Authorized Contact | AMEKA M LEE-GRAHAM CEO 757-778-3012 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007249) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-06-02 |