| NPI | 1003869546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MACCONNACHIE President 804-264-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 00810001700) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-06-21 |