| NPI | 1396160446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E BURCH-BROWN President 757-873-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001438) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2015-02-12 |