| NPI | 1952749798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALENA CAROL THOMAS Owner CEO 757-537-2619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005968) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |