| NPI | 1700037256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY SCOTT SHUMATE Chairman, CEO 540-899-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: VA 810003158) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 810003158) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |