| NPI | 1538875687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER K TATUM President 434-284-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |