| 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 |