| NPI | 1871676973 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN M. WALTERS President 804-270-7477  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001414)  | 
| Enumeration Date | 2006-10-23 | 
| Last Update Date | 2020-08-22 |