NPI | 1881147627 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNRELL DENISE BLACKWELL Owner 804-214-2260 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008953) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2016-07-28 |