| NPI | 1770012536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIJETTA E. LEWIS Owner/Therapist 804-221-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009511) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |