| NPI | 1174705248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BETHANY MAGAZINE Owner/Manager/Psychologist 804-722-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |