| NPI | 1417039264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD J LEWIS Owner 540-667-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |