| 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 |