| NPI | 1174781215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WOOD HENSLEY Business Manager 804-321-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: VA ba2096483) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |