| NPI | 1710487970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MICHELE HOFFMAN MILLER Licensed Clinical Psychologist 540-759-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810004434) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |