| NPI | 1063545176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE G. REED, Owner 757-569-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101050005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003254) |
| 101YM0800X Counselor, Mental Health (Licence: NC 3450) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2025-09-11 |