| NPI | 1861913410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN ZOPPETTI Clinical Psychologist 804-201-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0810002628) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |