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 |