| NPI | 1891104949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MEREDITH BALDWIN Owner 757-340-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003880) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2021-06-21 |