| NPI | 1881979342 |
|---|---|
| Doing Business As | SENIOR PSYCH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ARTHUR LEAVITT VP Physician Practice Management 434-200-3656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |