| NPI | 1609714278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC K WOOD Owner 804-763-9863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-03-24 |