| NPI | 1548532617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLASS R BLOOMFIELD Clinical Psychologist 804-264-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 0810000979) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |