| NPI | 1841668506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARTRICE THORNE Sole Proprietor 804-370-7819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008871) |
| Additional Taxonomies | 251S00000X (Licence: VA 0904008871) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2016-11-03 |