| NPI | 1285130633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAMERON Owner 804-320-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |