| NPI | 1295958361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL G. WEIDMAN Vice Predident & CFO 804-321-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA H1842) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA H1842) |
| 1041C0700X Social Worker Clinical (Licence: VA H1842) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |