| NPI | 1053416495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M JAYNE President 540-949-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: VA 0101041689) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-08-20 |