| NPI | 1851717078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA KENNELL CEO 540-251-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004930) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2021-03-04 |