| NPI | 1528734704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYONDA LANIER BATTS Owner 540-212-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-09-07 |