| NPI | 1760577415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L G BONHEUR President 757-484-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904000872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001091) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-10-24 |