| NPI | 1144275603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SAMUEL FALK Vice President 804-639-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-04-02 |