| NPI | 1952772048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATHEWS Lcsw, Owner 804-317-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008919) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2020-01-17 |