| NPI | 1811246549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHVIND NAND ADKINS SINGH Chief Clinical Officer 804-512-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23917) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 12861) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2015-10-07 |