| NPI | 1265533848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A GARTEN Treasurer 804-323-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101018672) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810000895) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810001104) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904000041) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-09-11 |