| NPI | 1053793059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY H BARCLAY Director 434-616-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004569) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2017-01-06 |