| NPI | 1851680185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON ASHWORTH VP Of Operations 757-827-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP0814X Psychologist Psychoanalysis | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-01-29 |