| NPI | 1366494999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DEAN TAYLOR Supervisory Psychologist 804-675-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: VA 0810002360) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |