| NPI | 1164801510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERROL LIEBOWITZ Owner 757-498-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005191) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |