| NPI | 1891369252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA RENEE ANTHONY Licensed Clinical Social Worker 757-271-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |