| NPI | 1114341765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN FRANCOIS Office / Operations Manager 757-232-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 0810004863) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |