| NPI | 1033666409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELIA FURR GREGOIRE Clinical Psychologist 757-423-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 081000263) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |