| NPI | 1174586325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OWENS President 434-845-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001078) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-09-09 |