| NPI | 1700431624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SCHLICHTER Owner/Authorized Official 757-828-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-10-30 |