| NPI | 1871006817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSIE S SMITH Lic Clinical Social Worker 434-774-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006071) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |