| NPI | 1487916284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BORY Owner 540-371-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001956) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |