| NPI | 1861812026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL MORGAN Owner/Provider 757-937-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007148) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2019-04-08 |