| NPI | 1386053502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D. CODER CFO 804-835-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| 1041C0700X Social Worker Clinical | |
| 103T00000X Psychologist | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2023-09-26 |