NPI | 1407380926 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL K HECK Member 434-409-0822 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0102203941) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |