NPI | 1396801528 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH T MASON Owner 434-971-5604 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101044188) |
Enumeration Date | 2006-12-30 |
Last Update Date | 2020-08-22 |