| NPI | 1780923292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN THOMAS VON KLEISS CEO Clinical Psychologist 804-539-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0810004544) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |