| NPI | 1275885469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK WILLIAM GUNDERSON President 434-202-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101244180) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |