| NPI | 1639836950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LERLA GEORGETTE JOSEPH Practice Owner 804-386-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2025-08-20 |