| NPI | 1679087167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LUMPKIN Licensed Clinical Psychologist 804-205-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0810003758) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |