| NPI | 1811207103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HIGGINS President 2028-700-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 09040005320) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |