| NPI | 1811236227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLE R JIGGETTS President/Therapist 804-516-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007173) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |