| NPI | 1114794021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA LERNER-BRANDON Owner/Provider 804-299-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |