NPI | 1043090962 |
---|---|
Doing Business As | AGENTIC MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | DAVID VINCENT HAMILTON Principal Clinician 434-284-5980 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2023-09-29 |
Last Update Date | 2024-01-16 |