| NPI | 1003911256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GOULD President 804-320-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-02-28 |