| NPI | 1093855892 |
|---|---|
| Other Name | T A LARKSPUR PSYCHOTHERAPHY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY ANN BAILEY HENRY Owner 757-497-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003282) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-01-25 |