| NPI | 1477616597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J SHEA Owner President 757-490-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-12-07 |