| NPI | 1073348504 |
|---|---|
| Doing Business As | CIRCLE OF SECURITY NETWORK |
| Entity Type | Organization |
| Authorized Contact | ARCHER MANESS Director 434-825-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-10 |