| NPI | 1780880112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL CARUSI Clinical Director 276-228-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003040) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-06-23 |