| NPI | 1821568031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANDA EDWARDS-OSBORNE Clinical Social Worker 804-405-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |