| NPI | 1801068606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROTFUS President 757-467-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904000552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904000552) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |