| NPI | 1427066026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE DEACON Insurance COO Rdinator 540-387-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-06-25 |