| NPI | 1720352842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL D BROWN Billing/Marketing 757-270-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 907357) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-15 |