| NPI | 1932201233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET ANN PROUTEY Office Manager 540-344-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2008-05-01 |