| NPI | 1760803399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KOMISKE DWYER Owner/Manager 804-608-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008296) |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2014-02-21 |