| NPI | 1902290943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BOYETTE-WATSON Owner 757-846-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007603) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-07-21 |