| NPI | 1184408056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LEE WEAKLEY Administrative Director 540-568-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |