| NPI | 1811139157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA H GORDON President 757-461-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 002376) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |