| NPI | 1801112123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RATHBUN BRYANT Owner 804-741-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003425) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |