| NPI | 1841707239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE O'BRIEN Manager 804-240-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2018-03-17 |