| NPI | 1790932911 |
|---|---|
| Doing Business As | DOMINION OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | EBONY COWAN Billing Manager 804-316-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904005557) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2023-12-06 |