| NPI | 1790935971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CLEAVES CEO 757-533-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002584) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003230) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904004473) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904005849) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2009-03-23 |