| NPI | 1467558304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY W COLE Director / Owner 757-872-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001348) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-02-28 |