| NPI | 1376865774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DEL RIO HEYLIGER Owner 757-784-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002771) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |