| NPI | 1124060314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DEAN REID President 757-456-0505 |
| Organization Subpart ? | |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-08-02 |