| NPI | 1174855985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC MOORE Chief Executive Officer 804-317-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2020-11-17 |