NPI | 1265533848 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH A GARTEN Treasurer 804-323-3262 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810000895) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810001104) |
1041C0700X Social Worker, Clinical (Licence: VA 0904000041) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101018672) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-08-22 |