| NPI | 1043262215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SAMUEL FALK Vice President 804-794-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-04-16 |