| NPI | 1891216677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE M LAWDER Authorized Official / Provider 434-282-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 094002387) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2021-09-03 |