| NPI | 1780344275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MICHELLE JONES Licensed Clinical Psychologist 757-657-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2022-05-18 |