| NPI | 1194109371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROBERT BRAEN Clinical Psychologist 804-840-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002140) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |