| NPI | 1356497648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BUTNIK Licensed Clinical Psychologist 804-282-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001045) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003023) |
| 103TS0200X Psychologist, School (Licence: VA 0803000196) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904001608) | |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-08-22 |