| NPI | 1861945180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRICE DAVIS Owner/Lic. Clinical Social Worker 804-304-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007419) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |