| NPI | 1831697267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE CORDOR CEO 804-218-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810000972) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 104100000X Social Worker | |
| 133N00000X Nutritionist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 174H00000X Health Educator | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |