NPI | 1538388277 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP A DAVENPORT President 804-305-6623 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101052402) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |