| NPI | 1790016442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE FRAILING SALTISIAK Owner 804-690-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006391) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-02-09 |